Jordan Willoughby, PA-C

NPI 1013790856 · on the registry since 2023 · sole proprietor

Practice

Address: 3591 S Mercy Rd Ste 101
Gilbert, AZ 85297
Phone: (866) 974-2673
Fax: (866) 939-2673
Organisation at this address: Cranial Technologies, Inc.
Center For Orthopedic Research And Education Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona